PC MEDICAL GROUP INC (NPI# 1447618541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447618541 |
| Entity Type | Organization |
| Organization Name | PC MEDICAL GROUP INC |
| Practice Address |
3663 W 6th St Ste 100 Los Angeles CA 90020-3047 |
| Practice Telephone | 2133834000 |
| Mailing Telephone | 2133834000 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |
| Authorized Official Name | WILSON PARK (PRESIDENT) |
| Authorized Official Telephone | 2133834000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
G45867 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA LICENSE | G45867 | 01 |
| Street Address |
3663 W 6TH ST STE 100 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407468507 | County of Los Angeles | Clinic/Center | 242 E 6th St, Los Angeles, CA 90014-2117 | 2020-08-19 |
| 1790308005 | Korean Health, Education, Information and Research Center | Clinic/Center | 621 S Virgil Ave Ste 401, Los Angeles, CA 90005-4040 | 2020-05-20 |
| 1598398539 | Eduard Dudukgian M.d., A Professional Co | Clinic/Center | 1300 N Vermont Ave Ste 601, Los Angeles, CA 90027-6088 | 2020-02-18 |
| 1225599178 | The Los Angeles Lgbt Center | Clinic/Center | 3055 Wilshire Blvd Ste 360, Los Angeles, CA 90010-1108 | 2019-03-25 |
| 1144791500 | Beverly Community Clinic | Clinic/Center | 2252 Beverly Blvd Ste 103, Los Angeles, CA 90057-2225 | 2018-12-11 |
| 1306320619 | Beverly Ob & Gyn Medical Center Inc. | Clinic/Center | 4620 Beverly Blvd Ste 101, Los Angeles, CA 90004-3102 | 2018-09-21 |
| 1376036178 | Rolando S. Mercader M.d. Inc. | Clinic/Center | 201 S Alvarado St Ste 600, Los Angeles, CA 90057-2386 | 2018-06-07 |
| 1669909958 | David Rekar Md, Inc | Clinic/Center | 866 N Vermont Ave Ste 3a, Los Angeles, CA 90029-3587 | 2017-05-17 |
| 1639604895 | Family Health Clinic Inc. | Clinic/Center | 133 S Vermont Ave, Los Angeles, CA 90004-5904 | 2017-04-25 |
| 1124406012 | Azebria Gipson | Clinic/Center | 2331 E 120th St, Los Angeles, CA 90059-2629 | 2015-05-11 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
Please comment or provide details below to improve the information on PC MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.